Rate of Pay: $80,000.00 to S89,210.00 + benfits
London Family Health Team : The London Family Health Team is a group
of interdisciplinary professionals working to improve the quality of
life of the patients through prevention, identification, and management
of disease.
Summary
The Nurse Practitioner is to work collaboratively across the London
Family Health Team, including primary home care, primary care,
specialized with the Elderly and Frail population. The Nurse
Practitioner will support the care of the Elderly and Frail, the complex
palliative patients, and the chronic but stable palliative patients for
the physicians of the London Family Health Team.
The Nurse Practitioner will provide care connections across the
health care system for Elderly and Frail, Palliative, and Dementia
patients, while working in collaboration with the interdisciplinary
team.
The Nurse Practitioner will share his/or her expertise and knowledge
of health promotion, disease prevention, and chronic disease management
across the lifespan of the LFHT patients.
The Nurse Practitioner conducts his or her duties in strict
accordance with the Lead Physician directions, LFHT policies, safety
procedures, and best practices.
Duties and Responsibilities
- Focus on educational of Patients and Care Givers of the following
programs that are implemented within the LFHT Annual Operational Plan
(e.g. Dementia, Palliative, Geriatric and Frail, etc)
- To provide pain and symptom management for patients in their finial year of life.
- To provide support and bereavement counseling for families.
- Improve access to primary care for elderly.
- Facilitate the ability for the elderly to remain in their homes.
- Screen for cognitive difficulties including dementia.
- Screen for osteoporosis and develop care plan for those at risk.
- Screen from Depression in elderly with chronic disease.
- Prevention of poly-pharmacy and reduction of medication.
- Identification of patients with MCI, in order to stratify the diagnosis of dementia of severity and type.
- Make home visits for complex palliative patients and their families,
to conduct comprehensive clinical assessments and contribute to the
development of comprehensive shared care plans in consultation with
primary care physicians, CCAC case managers
- Perform other duties within your legislated scope of practice as a
NP, such as diagnosing, ordering and interpreting diagnostic tests, and
prescribing pharmaceuticals.
- Act as a resource to the CCAC Case manager in terms of clinical
expertise in developing palliative care plans for complex patients of
the LFHT.
- Provide clinical advice and support for chronic palliative patients
of the LFHT, and their families, as patient interact with home and
community care, primary care, acute care, and specialist care.
- Participate in systems planning and system integration to ensure a
comprehensive and quality system of care for patients and their
families.
- Travel with Home Visits can accommodate up to 50% of the Nurse Practitioner work day.
- Evening and weekend house calls could be required.
Skills / Abilities
- Knowledge and proficiency in current evidenced based methods and
practices of primary care delivery, with an emphasis on health
promotion.
- Leadership, organization, research, evaluation, time management, communication and interpersonal skills.
- Proficiency in the use of the computer hardware and software, particularly in Microsoft Word, Excel, Outlook
- Experience and knowledge of EMR.
- Desire and ability to update and knowledge and skills through
various means including technology-based opportunities, courses,
workshops, and conferences.
- Multi-tasking skills related to the delivery of efficient primary
care including the ability to share information and teach while treating
patients in a individual or group session.
- Excellent Verbal and written communication skills.
- Valid driver’s license and access to a reliable vehicle.
Professional Registration:
- Current registration from the College of Nursing of Ontario as RN(EC)
- Membership in the Registered Nurses Association of Ontario (preferred).
- Membership in the Nurse Practitioner Association of Ontario (preferred).
Minimum Education:
- Masters in Nursing, and completion of a Primary Health Care Nurse Practitioner Program.
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